Evidence map›Paper›PMID 28422871›Full record

Observational studyMedicine2017

Ultrasound versus fluoroscopy-guided medial branch block for the treatment of lower lumbar facet joint pain: A retrospective comparative study.

Seung Hoon Han, Ki Deok Park, Kyoung Rai Cho, Yongbum Park

Registry-linked trialOpen access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04658953 (Comparison of the Effectiveness of Ultrasound-guided Versus Radioguided Medial Lumbar Bundle Branch Block), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04658953 nacompletednot on this mapstarted 2021, after this paper: background citation

Comparison of the Effectiveness of Ultrasound-guided Versus Radioguided Medial Lumbar Bundle Branch Block

TypeinterventionalSponsorCentre Hospitalier Universitaire Saint PierreRan2021 to 2022Enrolled50ConditionsChronic Low-back Pain, Lumbar Facet Joint SyndromeArmsUltrasound guided infiltration, Fluoroscopy guided infiltration
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Multiple injections for low back pain: What's the future?European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020
    Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Ultrasound-guided axial facet joint interventions for chronic spinal pain: A narrative review.Canadian journal of pain = Revue canadienne de la douleur · 2023
    Review
  10. Review
  11. Article
  12. Article
  13. Robotic ultrasound-guided facet joint insertion.International journal of computer assisted radiology and surgery · 2018
    Article
  14. Article
  15. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Seung Hoon HanaDepartment of Rehabilitation Medicine, Hanyang University College of Medicine, Seoul, Republic of Korea bDepartment of Rehabilitation Medicine, Gachon University, Gil Medical Center, Incheon cDepartment of Otorhinolaryngology-Head and Neck Surgery dDepartment of Rehabilitation Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Republic of Korea.
Ki Deok Park
Kyoung Rai Cho
Yongbum Park
Gachon University Gil Medical Center · KRHanyang University · KRInje University Sanggye Paik Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to compare the mid-term effects and benefits of ultrasound (US)-guided and fluoroscopy (FL)-guided medial branch blocks (MBBs) for chronic lower lumbar facet joint pain through pain relief, functional improvement, and injection efficiency evaluation.Patients with chronic lumbar facet joint pain who received US (n = 68) or FL-guided MBBs (n = 78) were included in this retrospective study. All procedures were performed under FL or US guidance. Complication frequency, therapeutic effects, functional improvement, and the injection efficiency of MBBs were compared at 1, 3, and 6 months after the last injection.Both the Oswestry Disability Index (ODI) and the verbal numeric pain scale (VNS) improved at 1, 3, and 6 months after the last injections in both groups. Statistical differences were not observed in ODI and VNS between the groups (P > .05). The proportion of patients who reported successful treatment outcomes showed no significant differences between the groups at different time points. Logistic regression analysis showed that sex, pain duration, injection methods, number of injections, analgesic use, and age were not independent predictors of a successful outcome. US guidance was associated with a significantly shorter performance time.US-guided MBBs did not show significant differences in analgesic effect and functional improvement compared with the FL-guided approach. Therefore, by considering our data from this retrospective study, US-guided MBBs warrant consideration in the conservative management of lower lumbar facet joint pain.

Indexed as

AdultAgedAnesthetics, LocalFemaleFluoroscopyHumansLogistic ModelsLow Back PainLumbar VertebraeMaleMiddle AgedNerve BlockRetrospective StudiesUltrasonography, InterventionalZygapophyseal JointAnesthetics, Local

Identifiers

PMID28422871
PMCPMC5406087
OpenAlexW2607304152

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.